<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">申请用户id</label>
            <div class="layui-input-block">
                <input type="text" name="uid" class="layui-input" lay-verify="required" placeholder="请输入申请用户id" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">提现前总收入</label>
            <div class="layui-input-block">
                <input type="text" name="before_total_income" class="layui-input" lay-verify="required" placeholder="请输入提现前总收入" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">提现前剩余可提现收益</label>
            <div class="layui-input-block">
                <input type="text" name="before_availble_income" class="layui-input" lay-verify="required" placeholder="请输入提现前剩余可提现收益" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">申请金额</label>
            <div class="layui-input-block">
                <input type="text" name="amount" class="layui-input" lay-verify="required" placeholder="请输入申请金额" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">状态：-1=审核失败 0=申请中 1=审核通过</label>
            <div class="layui-input-block">
                <input type="text" name="state" class="layui-input" lay-verify="required" placeholder="请输入状态：-1=审核失败 0=申请中 1=审核通过" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">审核结果描述</label>
            <div class="layui-input-block">
                <input type="text" name="msg" class="layui-input" lay-verify="required" placeholder="请输入审核结果描述" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">确认时间</label>
            <div class="layui-input-block">
                <input type="text" name="verify_time" class="layui-input" lay-verify="required" placeholder="请输入确认时间" value="CURRENT_TIMESTAMP">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>